Jenny Cha, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

010030 Issued in CT

Practice address

380 Boston Post Rd
Orange, CT 06477-3524

Phone

(203) 795-4748

Fax

(203) 891-8255

NPI assigned

Mar 30, 2007

Last updated

Aug 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exceldent Dental of Orange, LLP

  • Dentist
  • Orange, CT
  • NPI 1659414126
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1659491967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773524",
            "telephone_number": "203-795-4748",
            "fax_number": "203-891-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773524",
            "telephone_number": "203-795-4748",
            "fax_number": "203-891-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052605",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02313000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Case, MD
• Michael L. Casinelli, DPT
• Audrey Castell Watts, RD
• Constance Catrone, MSW
• Center for Orthopaedics, PC
• Saikrishna Chalasani, RPH
• Shaowei Chen, DDS
• Cheryl Waskiewicz Aprn LLC
• Francesca Chieffo, OT
• Elizabeth Choe

• Dentist in Orange, CT
• Providers in Orange, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.